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North Carolina rates for HCPCS C2639

Brachytherapy source, nonstranded, iodine-125, per source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $3,801.89 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $26.92 / $34.67
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $27.54 / $51.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $28.18 / $28.18
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $177.83 / $177.83